Membership Application and Fees

 

Name: _______________________ A.M.A. # ___________________________

Address: _____________________ Phone: # ___________________________

City: ________________________ State: ________________ Zip _________

Date of Birth: _________________School Grade: ______________________

Occupation: __________________ Brief History In Modeling : ___________

_______________________________________________________________________

Email Address:_________________________________________________________

Date Joining Club: ______________________________________________________

In filling out the above application, the information must be exactly as your identification appears on you’re A.M.A. membership card.

An identification tag is issued to all new members. Please indicate the way you want your name to appear on the tag:

*_________________________*

Membership in the club must be paid by check or money order (No Cash)

Initiation Fee, Dues & Assessments:   $75.00 (includes a one time fee of $25.00) 
    

Renewal-----50.00
Life member---37.50  Age  65 and at least 10 consecutive years as regular member.
Family member-12.00  Over 18 and live with active member.
Youth---10.00   Under 18.
10.00 late fee on all renewals after the April meeting.

           

  Note: A.M.A. card is required to be a member of this club. If you mail this application. 
  Please enclose a copy of A.M.A card and mail to chairman.
                                          

                                                                   Membership Chairman:
                                                                   Al Zerber
                                                                   230 Cardwell
                                                                   Garden City, Michigan  48135